CN110179532A - Adjustable type vagina cerclage inflates uterus raising device - Google Patents

Adjustable type vagina cerclage inflates uterus raising device Download PDF

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Publication number
CN110179532A
CN110179532A CN201910554734.7A CN201910554734A CN110179532A CN 110179532 A CN110179532 A CN 110179532A CN 201910554734 A CN201910554734 A CN 201910554734A CN 110179532 A CN110179532 A CN 110179532A
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CN
China
Prior art keywords
palace
inflation
cerclage
lifted
stick
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201910554734.7A
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Chinese (zh)
Inventor
李委佳
谭文华
车建华
金玉霞
王菲
王瑞雪
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Individual
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Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201910554734.7A priority Critical patent/CN110179532A/en
Publication of CN110179532A publication Critical patent/CN110179532A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B17/4241Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium

Abstract

It is inflated the invention discloses adjustable type vagina cerclage and lifts palace device, palace stick is lifted by adjustable type first, facilitate that medical staff's is accurate, safety operation, palace cup effect is lifted secondly by inflatable, it can not only all promising policy difference vagina width, also effectively prevent vaginal wall from damaging, inflation lifts palace cup with filling with the extruding effectively reduced to cervix neoplasms tissue, a possibility that reducing tumour diffusion, and the degree of difficulty for taking out uterus is reduced after deflating, improve the protection to vaginal wall, finally by the bicyclic drawstring design of cooperation, it not only can be according to uterus size adjustment width, also convenient bidirectional is tightened simultaneously and can be quick, it is time saving and energy saving, and it is not easy to slip after tensing, achieve the purpose that no tumor operation, eventually by above-mentioned, greatly improve the subsequent operation on uterus especially laparoscope cervical carcinoma radical cure safe operation of uterectomy and convenient, It reduces tumour caused by changing due to pneumoperitoneum pressure to fall off plantation, reduces the extruding for lifting palace cup to uterine neck, reduction Postoperative recurrent rate.

Description

Adjustable type vagina cerclage inflates uterus raising device
Technical field
The present invention relates to gynecologic operating instruments fields more particularly to the inflation of adjustable type vagina cerclage to lift palace device.
Background technique
The prospective multicenter randomized control study that in October, 2018 " New England Journal of Medicine " (NEMJ) delivers (LACC research) result thinks cervical carcinoma laparoscopic surgery compared with classical abdominal, case fatality rate is higher, recurrence rate is higher, Survival rate is lower.The laparoscopic technique once recommended in multiple guides such as NCCN guide, FIGO guide, EMSO guide can be used for early stage The suggestion of cervical carcinoma operative treatment, international gynecological tumor educational circles cause repercussion strong.The laparoscope uterine neck that China is become increasingly popular Cancer operation is put forward higher requirements, corresponding surgical instrument in the prior art, not only cannot achieve the cerclage closing to vagina, letter Easy uterus raising device can not strut vagina increase operating difficulty, and difficulty is taken out in uterus after furthermore cutting off vagina, and tradition act palace cup is easily crowded Uterine neck is pressed, tumour is also be easy to cause to spread and plant, laparoscope is finally constrained significantly in cervical carcinoma operation and plays advantage, in view of Disadvantages described above implements no tumor principle, and it is really necessary to design the inflation of adjustable type vagina cerclage to lift palace device.
Summary of the invention
Technical problem to be solved by the present invention lies in: the inflation of adjustable type vagina cerclage is provided and lifts palace device, to solve to cut Except vagina unprotect measure, causes tumour to spread and plant after preventing the operation of laparoscope cervical carcinoma from squeezing, solve conventional method Take out behind uterus and tradition take out uterus process, not only operation difficulty is big, time-consuming and laborious, furthermore be easy to cause vaginal wall damage or The problem of tumour falls off and traditional palace stick of lifting is blind operating process, the Yi Fasheng perforation of uterus.
In order to solve the above technical problems, the technical scheme is that adjustable type vagina cerclage inflation lift palace device, including The two-way cerclage drawstring that left rope and right rope form further includes taper knob, casing, inflates and lift palace cup, connection tracheae, first unidirectionally Valve, inflating balloon, second one-way valve and the uterus raising device for lifting palace stick composition, the left rope and the mutually interspersed connection of right rope, it is described Casing be fixedly arranged on the left of taper knob, the casing and taper knob are integrally formed using die casting, and the inflation lifts palace cup admittedly On the left of casing, the inflation lifts palace cup and uses high-temperature plastic Nian Jie with casing, and the connection tracheae extends through the handle set And inside pipe casing, the connection tracheae left side port and inflation lift palace cup and use high-temperature plastic Nian Jie, described first unidirectionally Valve is located on the right side of connection tracheae at port, first check valve with connect tracheae using adhesive connection, the inflation Sacculus is fixedly arranged on the right side of the first check valve, and the inflating balloon is connect with the first check valve using adhesive, and described second Check valve is fixedly arranged on the right side of inflating balloon, and the second one-way valve is connect with inflating balloon using adhesive, the act palace Stick extends through the handle set, casing and inflation and lifts palace cup inside, and it is sliding that the act palace stick lifts palace cup with taper knob, casing and inflation respectively It is dynamic to be connected.
Further, positioning bolt has been also extended through on the right side of the sleeve upper end, the positioning bolt and casing use spiral shell Line connection.
Further, exhaust valve is fixedly provided on the right side of the connection tracheae, the exhaust valve uses glue with tracheae is connect Stick connection.
Further, handle is fixedly provided on the right side of the act palace stick, the handle is used with act palace stick and is weldingly connected.
Further, the soft set of protection is fixedly provided on the left of the act palace stick, the soft set of the protection and act palace stick use glue Stick connection.
Further, also stamp has the first graduation apparatus, the scale of first graduation apparatus on the left of the act palace stick outer wall Size range is 0cm -12cm.
Further, also stamp has the second graduation apparatus, the scale of second graduation apparatus on the right side of the act palace stick outer wall Size range is 0cm -12cm.
Further, the act palace stick outer wall middle-end is additionally provided with antiskid thread.
Compared with prior art, which inflates uterus raising device, when surgical procedure, holds and lifts palace stick from taper knob Insertion inside rear end, by uterine cavity depth mode suitable position, what medical staff can need according to the scale judgement for lifting palace stick rear portion Size, after the size for lifting the insertion of palace stick, which reaches, to be needed, medical staff only needs rotational positioning bolt, when positioning bolt pressure holding is anti- When on sliding screw thread, by the fiting effect of positioning bolt and antiskid thread, the effective fixation for lifting palace stick is realized, single-hand handling & is shaken hands Sleeve, and by uterus raising device, the act palace palace Bang Jiju cup insertion gynecologic patient vaginal area, it lifts palace stick and is located in uterine cavity, that is, realize and fill Gaslift palace cup is in patient's fornix vaginae region, then can work as inflation by pressing inflating balloon with hand according to vagina width When sacculus is shunk, it can be realized inner air and flowed into the cup of inflation act palace by the first check valve by connection tracheae, led at this time Air inflow effect is crossed, thus realize that the expansion of palace cup is lifted in inflation, it is synchronous after medical staff unclamps inflating balloon, in inflatable ball Under the rebound effect of capsule itself rubber material, realize that second one-way valve is opened, i.e., outside air is flowed by second one-way valve To inflating balloon, then medical staff needs according to the actual situation, can press inflating balloon again, at this time by it is above-mentioned from And the inflation that palace cup is lifted to inflation can be reached, conversely, only need to rotate release exhaust valve when needing to deflate, that is, inflate It lifts palace cup inner air to be discharged by connection tracheae by exhaust valve, realizes the deflation purpose that palace cup is lifted in inflation, most Eventually by aforesaid operations, the needs of different vagina width can not only be met, damage vaginal wall is furthermore also effectively prevented, improve Protection to patient lifts palace cup due to inflatable and squeezes uterine neck small, and it is adjustable to inflate opportunity, caused by reducing because lifting palace Tumour is spread, and can be deflated before cerclage and be reduced vagina tension, and cerclage effect is improved, and is reduced tumor planting and is fallen off.Meanwhile it operating herein In the process, the scale size that medical staff can be shown by observing the second graduation apparatus can then judge that lifting palace stick is inserted into palace The depth dimensions in intracavitary portion, it is ensured that the accuracy and safety of operation, after patient uterine's positioning, vagina dissociates to suitable Work as position, two-way cerclage drawstring is fed through on the outside of uterus by medical staff from patient abdomen Trocar, and is moved along uterus bottom It moves to cervix opening, then the tightening of two-way cerclage drawstring is realized, when two-way simultaneously to left rope and right rope is reversely pulled respectively After cerclage drawstring is tightened, medical staff can carry out subsequent radical-ability operation on uterus excision, the adjustable type vagina Palace device is lifted in cerclage inflation, is lifted palace cup effect by inflatable first, can not only be met different vagina width, bullet of deflating at any time Property it is good, reduce the extruding to cervix neoplasms, and then reduce the probability of the uterine neck metastasis of cancer, and also can be according to the big ditty of fornix Section lifts palace cup size, reduces vaginal wall damage, lifts palace stick secondly by adjustable type scale, not only facilitates the essence of medical staff Quasi-, safety operation can determine whether that palace stick is lifted in uterine cavity gos deep into length, reaches and precisely lifts palace purpose, effectively secondly by backsight scale The perforation of uterus is avoided, finally by cooperating two-way cerclage drawstring to design, also reaches tightening vagina purpose, and combine way stay cord can Snare width is adjusted according to uterus size, it is time saving and energy saving that two-way simultaneous tenses, and is not easy to slip once tensing.Eventually by above-mentioned, It greatly improves operation on uterus excision operation safely, conveniently, realizes that the operation of laparoscope cervical carcinoma without tumor principle, is prevented to greatest extent Only tumour cell spreads and falls off.
Detailed description of the invention
Fig. 1 is the perspective view of adjustable type vagina cerclage inflation uterus raising device;
Fig. 2 is the perspective view of uterus raising device;
Fig. 3 is the main view of uterus raising device;
Fig. 4 is the cross-sectional view of uterus raising device;
Fig. 5 is the enlarged drawing at inflating balloon position.
Palace cup 5, connection tracheae 6, the first check valve 7, inflating balloon are lifted in left rope 1, right rope 2, taper knob 3, casing 4, inflation 8, second one-way valve 9, act palace stick 10, positioning bolt 401, exhaust valve 601, handle 1001, the soft set 1002 of protection, the first graduation apparatus 1003, the second graduation apparatus 1004, antiskid thread 1005.
The following detailed description will be further explained with reference to the above drawings.
Specific embodiment
Hereinafter, a variety of specific details are elaborated, in order to provide to the saturating of the concept for constituting described embodiment basis Thorough understanding, however, it will be apparent to those skilled in the art that described embodiment can be in these no specific details In the practice of getting off of some or all situations do not specifically describe well-known processing step in other cases.
As shown in figure 1, figure 2, figure 3, figure 4 and figure 5, palace device, including left rope 1 and right rope 2 are lifted in the inflation of adjustable type vagina cerclage The two-way cerclage drawstring of composition further includes taper knob 3, casing 4, inflation act palace cup 5, connection tracheae 6, the first check valve 7, inflation The uterus raising device that sacculus 8, second one-way valve 9 and act palace stick 10 form, the left rope 1 and right rope 2 mutually intert connection, described Casing 4 is fixedly arranged on 3 left side of taper knob, and the casing 4 and taper knob 3 are integrally formed using die casting, and palace cup 5 is lifted in the inflation It is fixedly arranged on 4 left side of casing, the inflation lifts palace cup 5 and uses high-temperature plastic Nian Jie with casing 4, and the connection tracheae 6 runs through Inside taper knob 3 and casing 4, the 6 left side port of connection tracheae lifts palace cup 5 with inflation and uses high-temperature plastic Nian Jie, described The first check valve 7 be located at connection 6 right side port of tracheae at, first check valve 7 with connect tracheae 6 use adhesive company It connects, the inflating balloon 8 is fixedly arranged on 7 right side of the first check valve, and the inflating balloon 8 and the first check valve 7 use gluing Agent connection, the second one-way valve 9 are fixedly arranged on 8 right side of inflating balloon, and the second one-way valve 9 and inflating balloon 8 use Adhesive connection, the act palace stick 10 extend through the handle set 3, casing 4 and inflation and lift inside palace cup 5, and the act palace stick 10 divides Cup 5 sliding in palace is not lifted with taper knob 3, casing 4 and inflation to be connected, has also extended through positioning bolt on the right side of 4 upper end of casing 401, the positioning bolt 401, using being threadedly coupled, is fixedly provided with exhaust valve on the right side of the connection tracheae 6 with casing 4 601, the exhaust valve 601 uses adhesive to connect with tracheae 6 is connect, and is fixedly provided with handle on the right side of the act palace stick 10 1001, the handle 1001, using being weldingly connected, is fixedly provided with the soft set of protection with act palace stick 10 on the left of the act palace stick 10 1002, the soft set 1002 of the protection uses adhesive to connect with palace stick 10 is lifted, and also stamps on the left of 10 outer wall of act palace stick There is the first graduation apparatus 1003, the scale size range of first graduation apparatus 1003 is 0cm -12cm, the act palace stick 10 Also stamp has the second graduation apparatus 1004 on the right side of outer wall, and the scale size range of second graduation apparatus 1004 is 0cm -12cm, The 10 outer wall middle-end of act palace stick is additionally provided with antiskid thread 1005.
The adjustable type vagina cerclage inflates uterus raising device, when surgical procedure, after medical staff detects uterine cavity depth, holds and lifts palace Stick 10 is inserted into from 3 rear inner part of taper knob, and medical staff can be by the scale size of observation the second graduation apparatus 1004 display, then It can judge to lift the depth dimensions that palace stick 10 is inserted into inside uterine cavity, it is ensured that the accuracy and safety of operation, when act palace stick After the size of 10 insertions reaches needs, medical staff only needs rotational positioning bolt 401, when positioning bolt 401 is pressed in anti-skidding spiral shell When on line 1005, by the fiting effect of positioning bolt 401 and antiskid thread 1005, the effective fixation for lifting palace stick 10 is realized, Medical staff is hold by one hand taper knob 3, and uterus raising device is inserted into gynecologic patient vaginal area, that is, realizes that inflation is lifted at palace cup 5 In patient's fornix vaginae region, lifts palace stick 10 and be located in uterine cavity, it then can be according to vagina width, by pressing inflating balloon with hand 8, i.e., when inflating balloon 8 is shunk, it can be realized inner air by the first check valve 7 and inflation act flowed by connection tracheae 6 In palace cup 5, acted at this time by air inflow, thus realize that the expansion of palace cup 5 is lifted in inflation, it is synchronous when medical staff unclamps inflation After sacculus 8, under the rebound effect of itself rubber material of inflating balloon 8, realize that second one-way valve 9 is opened, i.e. outside air It is flowed into inside inflating balloon 8 by second one-way valve 9, then medical staff needs according to the actual situation, can press and fill again Balloon capsule 8, at this time by above-mentioned so as to reach the inflation for lifting palace cup 5 to inflation, conversely, when needing to deflate, only It need to rotate and unclamp exhaust valve 601, is i.e. inflation is lifted palace 5 inner airs of cup and discharged by connection tracheae 6 by exhaust valve 601, real The deflation purpose for having showed inflation act palace cup 5 can not only meet the need of different vagina width eventually by aforesaid operations It wants, furthermore also effectively prevents damage vaginal wall, improve the protection to patient, palace cup is lifted due to inflatable, uterine neck is squeezed It is small, and inflation opportunity is adjustable, tumour is spread caused by reducing because of act palace, and it can deflate before cerclage and reduce vagina tension, raising ring Effect is pricked, tumor planting is reduced and falls off.After patient uterine's positioning and vagina preparation, medical staff is from patient abdomen Two-way cerclage drawstring is fed through on the outside of uterus by Trocar, selects to be suitble to width, is opened lantern ring and is moved to palace along palace bottom Under neck mouth, then the tightening of two-way cerclage drawstring is realized, when two-way cerclage simultaneously to left rope 1 and right rope 2 is reversely pulled respectively After drawstring is tightened, the advantages of medical staff can carry out subsequent operation on uterus excision, the two-way knot is adjustable Pitch circle covers size, and it is time saving and energy saving that two-way simultaneous tenses, and is not easy to slip.Meanwhile protecting soft set 1002 is silica gel material, is had good Good flexibility, realization are contacted with the soft of uterine cavity, and it is high-temperature-resisting silicon rubber that palace cup 5 is lifted in inflation, -60 DEG C of tolerable temperature range --- 250℃。
The present invention is not limited to above-mentioned specific embodiment, those skilled in the art from the above idea, Without creative labor, the various transformation made are within the scope of the present invention.

Claims (8)

1. palace device is lifted in the inflation of adjustable type vagina cerclage, the two-way cerclage drawstring including left rope and right rope composition, it is characterised in that It further include taper knob, casing, inflation act palace cup, connection tracheae, the first check valve, inflating balloon, second one-way valve and act palace stick The uterus raising device of composition, the left rope and the mutually interspersed connection of right rope, the casing are fixedly arranged on the left of taper knob, the set Pipe is integrally formed with taper knob using die casting, and the inflation is lifted palace cup and is fixedly arranged on the left of casing, the inflation lift palace cup and Casing is bonded using high-temperature plastic, and the connection tracheae extends through the handle set and inside pipe casing, the connection tracheae left-hand end Mouth lifts palace cup with inflation and uses high-temperature plastic Nian Jie, and first check valve is described at port on the right side of connection tracheae First check valve with connect tracheae and connected using adhesive, the inflating balloon is fixedly arranged on the right side of the first check valve, described Inflating balloon is connect with the first check valve using adhesive, and the second one-way valve is fixedly arranged on the right side of inflating balloon, described Second one-way valve is connect with inflating balloon using adhesive, and the act palace stick extends through the handle set, casing and inflation and lifts in the cup of palace Portion, the act palace stick lift palace cup sliding with taper knob, casing and inflation respectively and are connected.
2. palace device is lifted in adjustable type vagina cerclage inflation as described in claim 1, it is characterised in that the sleeve upper end is right Side has also extended through positioning bolt, and the positioning bolt is used with casing and is threadedly coupled.
3. palace device is lifted in adjustable type vagina cerclage inflation as described in claim 1, it is characterised in that the connection tracheae is right Side is fixedly provided with exhaust valve, the exhaust valve with connect tracheae and connected using adhesive.
4. palace device is lifted in adjustable type vagina cerclage inflation as described in claim 1, it is characterised in that on the right side of the act palace stick It is fixedly provided with handle, the handle is used with act palace stick and is weldingly connected.
5. palace device is lifted in adjustable type vagina cerclage inflation as described in claim 1, it is characterised in that on the left of the act palace stick It is fixedly provided with the soft set of protection, the soft set of the protection uses adhesive to connect with palace stick is lifted.
6. palace device is lifted in adjustable type vagina cerclage inflation as described in claim 1, it is characterised in that the act palace stick outer wall Left side, which is also stamped, the first graduation apparatus.
7. palace device is lifted in adjustable type vagina cerclage inflation as described in claim 1, it is characterised in that the act palace stick outer wall Right side, which is also stamped, the second graduation apparatus.
8. palace device is lifted in adjustable type vagina cerclage inflation as described in claim 1, it is characterised in that the act palace stick outer wall Middle-end is additionally provided with antiskid thread.
CN201910554734.7A 2019-06-25 2019-06-25 Adjustable type vagina cerclage inflates uterus raising device Pending CN110179532A (en)

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CN201910554734.7A CN110179532A (en) 2019-06-25 2019-06-25 Adjustable type vagina cerclage inflates uterus raising device

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112535523A (en) * 2021-01-22 2021-03-23 上海长征医院 Novel uterine manipulator cup suitable for cervical cancer

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030216731A1 (en) * 2002-05-16 2003-11-20 Dennis Martin E. Device and method for facilitating a laparascopic supracervical hysterectomy
US20090182329A1 (en) * 2008-01-16 2009-07-16 Tyco Healthcare Group Lp Uterine Sealer
CN101849854A (en) * 2010-06-17 2010-10-06 杜炜杰 Multi-functional uterus raising device for laparoscopic operation
CN104207827A (en) * 2014-09-05 2014-12-17 桐庐优视医疗器械有限公司 Protractor-type multifunctional uterine lifting manipulator
CN204500912U (en) * 2015-04-01 2015-07-29 漯河医学高等专科学校 A kind of uterus raising device
CN205391169U (en) * 2016-03-11 2016-07-27 自贡市妇幼保健院 Whole palace apparatus that uses when surely performing operation entirely in uterus
CN205729479U (en) * 2016-01-31 2016-11-30 重庆源维科技开发有限责任公司 The act palace assembly of uterus raising device
CN109310455A (en) * 2016-06-09 2019-02-05 康曼德公司 Uterus raising device
CN210673417U (en) * 2019-06-25 2020-06-05 李委佳 Adjustable vaginal cerclage inflation uterus lifting device

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030216731A1 (en) * 2002-05-16 2003-11-20 Dennis Martin E. Device and method for facilitating a laparascopic supracervical hysterectomy
US20090182329A1 (en) * 2008-01-16 2009-07-16 Tyco Healthcare Group Lp Uterine Sealer
CN101849854A (en) * 2010-06-17 2010-10-06 杜炜杰 Multi-functional uterus raising device for laparoscopic operation
CN104207827A (en) * 2014-09-05 2014-12-17 桐庐优视医疗器械有限公司 Protractor-type multifunctional uterine lifting manipulator
CN204500912U (en) * 2015-04-01 2015-07-29 漯河医学高等专科学校 A kind of uterus raising device
CN205729479U (en) * 2016-01-31 2016-11-30 重庆源维科技开发有限责任公司 The act palace assembly of uterus raising device
CN205391169U (en) * 2016-03-11 2016-07-27 自贡市妇幼保健院 Whole palace apparatus that uses when surely performing operation entirely in uterus
CN109310455A (en) * 2016-06-09 2019-02-05 康曼德公司 Uterus raising device
CN210673417U (en) * 2019-06-25 2020-06-05 李委佳 Adjustable vaginal cerclage inflation uterus lifting device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112535523A (en) * 2021-01-22 2021-03-23 上海长征医院 Novel uterine manipulator cup suitable for cervical cancer

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